2026 ICD-10-CM Diagnosis Code N42.82Prostatosis syndrome
ICD-10-CM Codes›N00–N99›N40-N53›N42
- Billable — Valid for Submission
- Chronic Condition
N42.82 is a billable ICD-10-CM diagnosis code for prostatosis syndrome. It is valid on HIPAA claims for fiscal year 2026 (October 1, 2025 through September 30, 2026) and groups to MS-DRG 729 through 730. The code is restricted by the Medicare Code Editor to adult patients (age 15 through 124). In AHRQ's Clinical Classifications Software (CCSR), this diagnosis falls under Other specified male genital disorders.
Code Identity
Code Classification
Code EditsBilling
Medicare Code Editor checks that affect claim validity for N42.82.
Index to Diseases and InjuriesGuidance
Alphabetical index entries that point to this code.
- Prostatosis - N42.82
External Cause of Injuries IndexGuidance
References for this code in the External Cause of Injuries Index.
- Prostatosis
Clinical ClassificationClinical
AHRQ’s CCSR groups this code into broader clinical categories.
Patient EducationClinical
Prostate Diseases
The prostate is a gland in the male reproductive system. It lies just below the bladder. It makes fluid that is part of semen.
The full article covers:
- What is the prostate?
- What are prostate diseases?
- Who is more likely to develop prostate diseases?
- What are the symptoms of prostate diseases?
- How are prostate diseases diagnosed?
Read the full article at MedlinePlus
Courtesy of MedlinePlus, a service of the U.S. National Library of Medicine.
Convert N42.82 to ICD-9-CMHistory
The closest ICD-9-CM equivalents under the General Equivalence Mappings.
Code HistoryHistory
Questions About N42.82Overview
Is N42.82 (Other specified disorders of prostate) a billable code?
Yes. This is a billable ICD-10-CM code, specific enough to report prostatosis syndrome on HIPAA-covered claims from October 1, 2025 through September 30, 2026.
What MS-DRG does N42.82 group to?
When prostatosis syndrome is the principal diagnosis on an inpatient stay, it groups to MS-DRG 729, 730, with relative weights from 0.6720 to 1.0587 depending on complications. Higher weights mean higher Medicare reimbursement.
Who can N42.82 be reported for?
The Medicare Code Editor checks prostatosis syndrome against patient demographics: this code is intended for adult patients (age 15 through 124). Claims outside these limits are flagged as inconsistent.
What is the ICD-9 equivalent of N42.82?
Under the General Equivalence Mappings, prostatosis syndrome converts to ICD-9-CM 602.8 (prostatic disorders NEC). The mapping is approximate, so confirm the match fits the documentation.
Footnotes
[1] Chronic - a chronic condition code indicates a condition lasting 12 months or longer and its effect on the patient based on one or both of the following criteria:
- The condition results in the need for ongoing intervention with medical products,treatment, services, and special equipment
- The condition places limitations on self-care, independent living, and social interactions.
